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Year : 2005  |  Volume : 71  |  Issue : 3  |  Page : 179--181

Clinical profile of forefoot eczema: A study of 42 cases

Department of Skin and STD, Kasturba Medical College, Manipal, India

Correspondence Address:
S D Shenoi
Department of Skin and STD, Kasturba Medical College, Manipal - 576104, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0378-6323.16233

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BACKGROUND : Forefoot eczema (FE) is characterized by dry fissured dermatitis of the plantar surface of the feet. AIM : To study the clinical profile of FE and the possible etiological factors. METHODS : Forty-two patients with FE were included in the study. A detailed history was recorded and examination done. Fungal scrapings and patch test with Indian Standard Series (ISS) were performed in all patients. RESULTS : The most common site affected was the plantar surface of the great toe in 16 (38.09%) patients. Hand involvement, with fissuring and soreness of the fingertips and palm, was seen in four patients (9.5%). Seven patients (16.6%) had a personal history of atopy whereas family history of atopy was present in six (14.2%). Seven patients (16.6%) reported aggravation of itching with plastic, rubber or leather footwear, and 13 (30.9%), with detergents and prolonged contact with water. Negative fungal scrapings in all patients ruled out a dermatophyte infection. Patch testing with ISS was performed in 19 patients and was positive in five. CONCLUSIONS : FE is a distinctive dermatosis of the second and third decade, predominantly in females, with a multifactorial etiology, possible factors being chronic irritation, atopy, footwear and seasonal influence.


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Online since 15th March '04
Published by Wolters Kluwer - Medknow